<%@ page language="java" import="java.util.*" pageEncoding="UTF-8"%>
<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c"%>
<%
String path = request.getContextPath();
String bp = request.getScheme()+"://"+request.getServerName()+":"+request.getServerPort()+path+"/";

String __MANAGER = bp+"admin/";
String __SHOWMAINVIEW = __MANAGER+"showModule.do";
String __CREATEMENUBUTTON = __MANAGER+"createMenuButton.do";
%>

<!DOCTYPE html>
<html>
  <head>
    <title>SWIFT4J快速开发平台</title>
  </head>
  
<body>
	<div class="d-1">
		<h2 class="h2-ac">患者问卷</h2>
		<div class="d-b1">
		      <form name="treathisForm1" onsubmit="return false;">
				<input type="hidden" name="answer.id" value="${answer.id }"/>
				<input type="hidden" name="patientDoc.docId" value="${patientDoc.docId }"/>
		      	<div>
		      		<p class="fs16 fbold">生活方式</p>
					<div class="ml-10">
						1.您是否吸烟？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q1" value="1" <c:if test="${answer.q1 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q1" value="2" <c:if test="${answer.q2 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						2.您吸烟<input class="input-under-line ml-10" type="text" name="answer.q2" value="${answer.q2 }"/>年？
					</div>
					<div class="ml-10 mt-6">
						3.您平均每天吸烟<input class="input-under-line ml-10" type="text" name="answer.q3" value="${answer.q3 }"/>支？
					</div>
					<div class="ml-10 mt-6">
						4.您现在是否戒烟？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q4" value="1" <c:if test="${answer.q4 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q4" value="2" <c:if test="${answer.q4 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						5.您已经戒烟<input class="input-under-line ml-10" type="text" name="answer.q5" value="${answer.q5 }"/>年？
					</div>
					<div class="ml-10 mt-6">
						6.您是否饮酒？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q6" value="1" <c:if test="${answer.q6 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q6" value="2" <c:if test="${answer.q6 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						7.您饮酒<input class="input-under-line ml-10" type="text" name="answer.q7" value="${answer.q7 }"/>年？
					</div>
					<div class="ml-10 mt-6">
						8.您喜欢饮什么种类的酒？
						<p class="ml-30">
							<input class="ml-30" type="checkbox" name="answer.q8_1" value="1" <c:if test="${answer.q8_1 == 1 }"> checked="checked"</c:if> >白酒
							<input class="ml-30" type="checkbox" name="answer.q8_2" value="1" <c:if test="${answer.q8_2 == 1 }"> checked="checked"</c:if> >红酒
							<input class="ml-30" type="checkbox" name="answer.q8_3" value="1" <c:if test="${answer.q8_3 == 1 }"> checked="checked"</c:if> >黄酒
							<input class="ml-30" type="checkbox" name="answer.q8_4" value="1" <c:if test="${answer.q8_4 == 1 }"> checked="checked"</c:if> >啤酒
							<input class="ml-30" type="checkbox" name="answer.q8_5" value="1" <c:if test="${answer.q8_5 == 1 }"> checked="checked"</c:if> >混合饮酒
						</p>
					</div>
					<div class="ml-10 mt-6">
						9.您现在是否已经戒酒？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q9" value="1" <c:if test="${answer.q9 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q9" value="2" <c:if test="${answer.q9 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						10.您戒酒<input class="input-under-line ml-10" type="text" name="answer.q10" value="${answer.q10 }"/>年？
					</div>
					<div class="ml-10 mt-6">
						11.您食用蔬菜的频率（以每周有吃蔬菜的天数计）
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q11" value="1" <c:if test="${answer.q11 == 1 }"> checked="checked"</c:if> >极少量
							<input class="ml-30" type="radio" name="answer.q11" value="2" <c:if test="${answer.q11 == 2 }"> checked="checked"</c:if> >不规律
							<input class="ml-30" type="radio" name="answer.q11" value="3" <c:if test="${answer.q11 == 3 }"> checked="checked"</c:if> >小于3天
							<input class="ml-30" type="radio" name="answer.q11" value="4" <c:if test="${answer.q11 == 4 }"> checked="checked"</c:if> >3-5天
							<input class="ml-30" type="radio" name="answer.q11" value="5" <c:if test="${answer.q11 == 5 }"> checked="checked"</c:if> >5-7天
						</p>
					</div>
					<div class="ml-10 mt-6">
						12.您食用水果的频率（以每周有吃水果的天数计）
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q12" value="1" <c:if test="${answer.q12 == 1 }"> checked="checked"</c:if> >极少量
							<input class="ml-30" type="radio" name="answer.q12" value="2" <c:if test="${answer.q12 == 2 }"> checked="checked"</c:if> >不规律
							<input class="ml-30" type="radio" name="answer.q12" value="3" <c:if test="${answer.q12 == 3 }"> checked="checked"</c:if> >小于3天
							<input class="ml-30" type="radio" name="answer.q12" value="4" <c:if test="${answer.q12 == 4 }"> checked="checked"</c:if> >3-5天
							<input class="ml-30" type="radio" name="answer.q12" value="5" <c:if test="${answer.q12 == 5 }"> checked="checked"</c:if> >5-7天
						</p>
					</div>
					<div class="ml-10 mt-6">
						13.您每天饮水量（计250毫升为1杯水）<input class="input-under-line ml-10" type="text" name="answer.q13" value="${answer.q13}"/>杯？
					</div>
					<div class="ml-10 mt-6">
						14.①您早餐怎样安排  
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q14" value="1" <c:if test="${answer.q14 == 1 }"> checked="checked"</c:if> >不吃
							<input class="ml-30" type="radio" name="answer.q14" value="2" <c:if test="${answer.q14 == 2 }"> checked="checked"</c:if> >有时吃，有时不吃
							<input class="ml-30" type="radio" name="answer.q14" value="3" <c:if test="${answer.q14 == 3 }"> checked="checked"</c:if> >在外面吃
							<input class="ml-30" type="radio" name="answer.q14" value="4" <c:if test="${answer.q14 == 4 }"> checked="checked"</c:if> >在家中吃
						</p>
						②您有没有吃夜宵的习惯？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q15" value="1" <c:if test="${answer.q15 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q15" value="2" <c:if test="${answer.q15 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						15.您一日三餐能按时就餐吗
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q16" value="1" <c:if test="${answer.q16 == 1 }"> checked="checked"</c:if> >按时
							<input class="ml-30" type="radio" name="answer.q16" value="2" <c:if test="${answer.q16 == 2 }"> checked="checked"</c:if> >基本按时
							<input class="ml-30" type="radio" name="answer.q16" value="3" <c:if test="${answer.q16 == 3 }"> checked="checked"</c:if> >很难按时
							<input class="ml-30" type="radio" name="answer.q16" value="4" <c:if test="${answer.q16 == 4 }"> checked="checked"</c:if> >不按时
						</p>
					</div>
					<div class="ml-10 mt-6">
						16.您有没有暴饮暴食的习惯
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q17" value="1" <c:if test="${answer.q17 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q17" value="2" <c:if test="${answer.q17 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						16.您有没有暴饮暴食的习惯
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q18" value="1" <c:if test="${answer.q18 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q18" value="2" <c:if test="${answer.q18 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						17.您是否经常食用如下食品
						<p class="ml-30">
							<input class="ml-30" type="checkbox" name="answer.q19_1" value="1" <c:if test="${answer.q19_1 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="checkbox" name="answer.q19_2" value="1" <c:if test="${answer.q19_2 == 1 }"> checked="checked"</c:if> >油炸食品
							<input class="ml-30" type="checkbox" name="answer.q19_3" value="1" <c:if test="${answer.q19_3 == 1 }"> checked="checked"</c:if> >烟熏食品
							<input class="ml-30" type="checkbox" name="answer.q19_4" value="1" <c:if test="${answer.q19_4 == 1 }"> checked="checked"</c:if> >腌腊食品
							<input class="ml-30" type="checkbox" name="answer.q19_5" value="1" <c:if test="${answer.q19_5 == 1 }"> checked="checked"</c:if> >膨化食品
							<input class="ml-30" type="checkbox" name="answer.q19_6" value="1" <c:if test="${answer.q19_6 == 1 }"> checked="checked"</c:if> >方便快餐
							<input class="ml-30" type="checkbox" name="answer.q19_7" value="1" <c:if test="${answer.q19_7 == 1 }"> checked="checked"</c:if> >碳酸饮料
						</p>
					</div>
					<div class="ml-10 mt-6">
						18.您午餐就餐时间
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q20" value="1" <c:if test="${answer.q20 == 1 }"> checked="checked"</c:if> >小于5分钟
							<input class="ml-30" type="radio" name="answer.q20" value="2" <c:if test="${answer.q20 == 2 }"> checked="checked"</c:if> >5-10分钟 
							<input class="ml-30" type="radio" name="answer.q20" value="3" <c:if test="${answer.q20 == 3 }"> checked="checked"</c:if> >10-20分钟   
							<input class="ml-30" type="radio" name="answer.q20" value="4" <c:if test="${answer.q20 == 4 }"> checked="checked"</c:if> >20-30分钟
							<input class="ml-30" type="radio" name="answer.q20" value="5" <c:if test="${answer.q20 == 5 }"> checked="checked"</c:if> >30分钟以上
						</p>
					</div>
					<div class="ml-10 mt-6">
						19.您是否有饮食口味偏嗜
						<p class="ml-30">
							<input class="ml-30" type="checkbox" name="answer.q21_1" value="1" <c:if test="${answer.q21_1 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="checkbox" name="answer.q21_2" value="1" <c:if test="${answer.q21_2 == 1 }"> checked="checked"</c:if> >偏酸
							<input class="ml-30" type="checkbox" name="answer.q21_3" value="1" <c:if test="${answer.q21_3 == 1 }"> checked="checked"</c:if> >偏苦
							<input class="ml-30" type="checkbox" name="answer.q21_4" value="1" <c:if test="${answer.q21_4 == 1 }"> checked="checked"</c:if> >偏甜
							<input class="ml-30" type="checkbox" name="answer.q21_5" value="1" <c:if test="${answer.q21_5 == 1 }"> checked="checked"</c:if> >偏辛辣
							<input class="ml-30" type="checkbox" name="answer.q21_6" value="1" <c:if test="${answer.q21_6 == 1 }"> checked="checked"</c:if> >偏咸
							<input class="ml-30" type="checkbox" name="answer.q21_7" value="1" <c:if test="${answer.q21_7 == 1 }"> checked="checked"</c:if> >嗜食肥腻
						</p>
					</div>
					<div class="ml-10 mt-6">
						20.您是否偏爱生冷或滚烫的食物
						<p class="ml-30">
							<input class="ml-30" type="checkbox" name="answer.q22" value="1" <c:if test="${answer.q22 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="checkbox" name="answer.q22" value="2" <c:if test="${answer.q22 == 2 }"> checked="checked"</c:if> >嗜食生冷
							<input class="ml-30" type="checkbox" name="answer.q22" value="3" <c:if test="${answer.q22 == 3 }"> checked="checked"</c:if> >嗜食滚烫食物
						</p>
					</div>
					<div class="ml-10 mt-6">
						21.您是否经常食用隔夜饭菜？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q23" value="1" <c:if test="${answer.q23 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q23" value="2" <c:if test="${answer.q23 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						22.您的饮食结构如何？ 
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q24" value="1" <c:if test="${answer.q24 == 1 }"> checked="checked"</c:if> >肉食为主
							<input class="ml-30" type="radio" name="answer.q24" value="2" <c:if test="${answer.q24 == 2 }"> checked="checked"</c:if> >素食为主
							<input class="ml-30" type="radio" name="answer.q24" value="3" <c:if test="${answer.q24 == 3 }"> checked="checked"</c:if> >荤素各半，搭配合理
						</p>
					</div>
					<div class="ml-10 mt-6">
						23.您饮食干净程度如何？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q25" value="1" <c:if test="${answer.q25 == 1 }"> checked="checked"</c:if> >大多在外面吃，干净程度不能保证
							<input class="ml-30" type="radio" name="answer.q25" value="2" <c:if test="${answer.q25 == 2 }"> checked="checked"</c:if> >有时出去吃，干净程度一般
							<input class="ml-30" type="radio" name="answer.q25" value="3" <c:if test="${answer.q25 == 3 }"> checked="checked"</c:if> >基本都是在家里吃，很干净
						</p>
					</div>
					<div class="ml-10 mt-6">
						24.您经常锻炼吗（每周锻炼的天数）
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q26" value="1" <c:if test="${answer.q26 == 1 }"> checked="checked"</c:if> >完全不锻炼
							<input class="ml-30" type="radio" name="answer.q26" value="2" <c:if test="${answer.q26 == 2 }"> checked="checked"</c:if> >小于3天
							<input class="ml-30" type="radio" name="answer.q26" value="3" <c:if test="${answer.q26 == 3 }"> checked="checked"</c:if> >3-5天
							<input class="ml-30" type="radio" name="answer.q26" value="4" <c:if test="${answer.q26 == 4 }"> checked="checked"</c:if> >5-7天
						</p>
					</div>
					<div class="ml-10 mt-6">
						25.您每次锻炼共用多长时间？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q27" value="1" <c:if test="${answer.q27 == 1 }"> checked="checked"</c:if> >小于半小时
							<input class="ml-30" type="radio" name="answer.q27" value="2" <c:if test="${answer.q27 == 2 }"> checked="checked"</c:if> >0.5-1小时
							<input class="ml-30" type="radio" name="answer.q27" value="3" <c:if test="${answer.q27 == 3 }"> checked="checked"</c:if> >1-2小时
							<input class="ml-30" type="radio" name="answer.q27" value="4" <c:if test="${answer.q27 == 4 }"> checked="checked"</c:if> >2小时以上
						</p>
					</div>
					<div class="ml-10 mt-6">
						26.您平时情绪怎么样
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q28_1" value="1" <c:if test="${answer.q28_1 == 1 }"> checked="checked"</c:if> >平和
							<input class="ml-30" type="radio" name="answer.q28_2" value="1" <c:if test="${answer.q28_2 == 1 }"> checked="checked"</c:if> >急躁易怒
							<input class="ml-30" type="radio" name="answer.q28_3" value="1" <c:if test="${answer.q28_3 == 1 }"> checked="checked"</c:if> >容易紧张
							<input class="ml-30" type="radio" name="answer.q28_4" value="1" <c:if test="${answer.q28_4 == 1 }"> checked="checked"</c:if> >抑郁多思
							<input class="ml-30" type="radio" name="answer.q28_5" value="1" <c:if test="${answer.q28_5 == 1 }"> checked="checked"</c:if> >焦虑
						</p>
					</div>
					<div class="ml-10 mt-6">
						<p>27.①您每天工作<input class="input-under-line ml-10" type="text" name="answer.q29" value="${answer.q29 }"/>个小时？</p>
						②您是否有久坐的习惯？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q30" value="1" <c:if test="${answer.q30 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q30" value="2" <c:if test="${answer.q30 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						您一般晚上<input class="input-under-line ml-10" type="text" name="answer.q31" value="${answer.q31 }"/>点钟睡觉？
					</div>
					
					<p class="fs16 fbold">既往病史</p>
					<div class="ml-10 mt-6">
						29.您是否有胃肠道、胆囊和（或）神经系统手术病史？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q32_1" value="1" <c:if test="${answer.q32_1 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="radio" name="answer.q32_2" value="1" <c:if test="${answer.q32_2 == 1 }"> checked="checked"</c:if> >胃肠道手术史 
							<input class="ml-30" type="radio" name="answer.q32_3" value="1" <c:if test="${answer.q32_3 == 1 }"> checked="checked"</c:if> >胆囊手术史  
							<input class="ml-30" type="radio" name="answer.q32_4" value="1" <c:if test="${answer.q32_4 == 1 }"> checked="checked"</c:if> >神经系统手术史
							<input class="ml-30" type="radio" name="answer.q32_5" value="1" <c:if test="${answer.q32_5 == 1 }"> checked="checked"</c:if> >两种以上手术史
						</p>
					</div>
					<div class="ml-10 mt-6">
						30.您有无其他胃肠疾病病史？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q33_1" value="1" <c:if test="${answer.q33_1 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="radio" name="answer.q33_2" value="1" <c:if test="${answer.q33_2 == 1 }"> checked="checked"</c:if> >胃息肉
							<input class="ml-30" type="radio" name="answer.q33_3" value="1" <c:if test="${answer.q33_3 == 1 }"> checked="checked"</c:if> >消化性溃疡 
							<input class="ml-30" type="radio" name="answer.q33_4" value="1" <c:if test="${answer.q33_4 == 1 }"> checked="checked"</c:if> >慢性胃炎 
							<input class="ml-30" type="radio" name="answer.q33_5" value="1" <c:if test="${answer.q33_5 == 1 }"> checked="checked"</c:if> >慢性肠炎
							<input class="ml-30" type="radio" name="answer.q33_6" value="1" <c:if test="${answer.q33_6 == 1 }"> checked="checked"</c:if> >胃肠功能紊乱<br> 
							<input class="ml-30" type="radio" name="answer.q33_7" value="1" <c:if test="${answer.q33_7 == 1 }"> checked="checked"</c:if> >其他：
							<input class="ml-30" type="text" name="answer.q33Value" value="${answer.q33Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						31.您是否有胆囊胆道病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q34" value="1" <c:if test="${answer.q34 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q34" value="2" <c:if test="${answer.q34 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q35" value="1" <c:if test="${answer.q35 == 1 }"> checked="checked"</c:if> >具体情况：
							<input class="ml-30 displayN" type="text" name="answer.q35Value" value="${answer.q35Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						32.您是否有血压偏高病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q36" value="1" <c:if test="${answer.q36 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q36" value="2" <c:if test="${answer.q36 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q37" value="1" <c:if test="${answer.q37 == 1 }"> checked="checked"</c:if> >具体分级：
							<input class="ml-30 displayN" type="text" name="answer.q37Value" value="${answer.q37Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						33.您是否有血糖偏高病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q38" value="1" <c:if test="${answer.q38 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q38" value="2" <c:if test="${answer.q38 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q39" value="1" <c:if test="${answer.q39 == 1 }"> checked="checked"</c:if> >既往空腹最高血糖：
							<input class="ml-30 displayN" type="text" name="answer.q39Value" value="${answer.q39Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						34.您是否有脂肪肝病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q40" value="1" <c:if test="${answer.q40 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q40" value="2" <c:if test="${answer.q40 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q41" value="1" <c:if test="${answer.q41 == 1 }"> checked="checked"</c:if> >标明程度：
							<input class="ml-30 displayN" type="text" name="answer.q41Value" value="${answer.q41Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						35.您是否有慢性丙肝、乙肝病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q42" value="1" <c:if test="${answer.q42 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q42" value="2" <c:if test="${answer.q42 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q43" value="1" <c:if test="${answer.q43 == 1 }"> checked="checked"</c:if> >具体情况：
							<input class="ml-30 displayN" type="text" name="answer.q43Value" value="${answer.q43Value }">
						</p>
					</div>
					
					
					<p class="fs16 fbold">药物使用情况</p>
					
					
					<div class="ml-10 mt-6">
						36.您是否经常服用降脂药（他汀类或贝特类）   
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q44" value="1" <c:if test="${answer.q44 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q44" value="2" <c:if test="${answer.q44 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q45" value="1" <c:if test="${answer.q45 == 1 }"> checked="checked"</c:if> >列举具体药物：
							<input class="ml-30 displayN" type="text" name="answer.q45Value" value="${answer.q45Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						37.您是否经常服用非甾体类消炎药（阿司匹林、塞来昔布等）    
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q46" value="1" <c:if test="${answer.q46 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q46" value="2" <c:if test="${answer.q46 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q47" value="1" <c:if test="${answer.q47 == 1 }"> checked="checked"</c:if> >列举具体药物：
							<input class="ml-30 displayN" type="text" name="answer.q47Value" value="${answer.q47Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						38.您是否经常服用维生素（维C或叶酸类）         
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q48" value="1" <c:if test="${answer.q48 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q48" value="2" <c:if test="${answer.q48 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q49" value="1" <c:if test="${answer.q49 == 1 }"> checked="checked"</c:if> >列举具体药物：
							<input class="ml-30" type="text" name="answer.q49Value" value="${answer.q49Value }">
						</p>
					</div>
					<div class="ml-10 mt-6">
						39.您是否使用过保健品（如深海鱼油、蛋白粉、海豹油）      
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q50" value="1" <c:if test="${answer.q50 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q50" value="2" <c:if test="${answer.q50 == 2 }"> checked="checked"</c:if> >否 <br>
							<input class="ml-30" type="radio" name="answer.q51" value="1" <c:if test="${answer.q51 == 1 }"> checked="checked"</c:if> >列举具体保健品：
							<input class="ml-30" type="text" name="answer.q51Value" value="${answer.q51Value }">
						</p>
					</div>
					
					
					<p class="fs16 fbold">家族史</p>
					
					
					<div class="ml-10 mt-6">
						40.您直系家属中有没有已知的肠息肉病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q52" value="1" <c:if test="${answer.q52 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q52" value="2" <c:if test="${answer.q52 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						41.您直系家属中有没有已知的肿瘤病史
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q53" value="1" <c:if test="${answer.q53 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q53" value="2" <c:if test="${answer.q53 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					
					
					<p class="fs16 fbold">家族史</p>
					
					
					<div class="ml-10 mt-6">
						42.您认为相关的风险因素还有哪些呢？
						<p class="ml-30">
							<textarea rows="5" cols="100" name="answer.q54">${answer.q54 }</textarea>
						</p>
					</div>
					
					
					<p class="fs16 fbold">家族史</p>
					
					
					<div class="ml-10 mt-6">
						43.您觉得腹部疼痛吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q55" value="1" <c:if test="${answer.q55 == 1 }"> checked="checked"</c:if> >无腹部疼痛（转题46）<br>
							<input class="ml-30" type="radio" name="answer.q55" value="2" <c:if test="${answer.q55 == 2 }"> checked="checked"</c:if> >腹部偶有疼痛，1小时内可自行缓解<br>
							<input class="ml-30" type="radio" name="answer.q55" value="3" <c:if test="${answer.q55 == 3 }"> checked="checked"</c:if> >腹部经常发生疼痛，程度可忍受，持续1-3小时可缓解<br>
							<input class="ml-30" type="radio" name="answer.q55" value="4" <c:if test="${answer.q55 == 4 }"> checked="checked"</c:if> >腹部疼痛较重，程度多不能忍受，每次持续大于3小时，服药后才能缓解<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						44.请描述疼痛的性质
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q56_1" value="1" <c:if test="${answer.q56_1 == 1 }"> checked="checked"</c:if> >胀痛
							<input class="ml-30" type="radio" name="answer.q56_2" value="1" <c:if test="${answer.q56_2 == 1 }"> checked="checked"</c:if> >刺痛
							<input class="ml-30" type="radio" name="answer.q56_3" value="1" <c:if test="${answer.q56_3 == 1 }"> checked="checked"</c:if> >灼痛
							<input class="ml-30" type="radio" name="answer.q56_4" value="1" <c:if test="${answer.q56_4 == 1 }"> checked="checked"</c:if> >隐痛
							<input class="ml-30" type="radio" name="answer.q56_5" value="1" <c:if test="${answer.q56_5 == 1 }"> checked="checked"</c:if> >刀割样痛
							<input class="ml-30" type="radio" name="answer.q56_6" value="1" <c:if test="${answer.q56_6 == 1 }"> checked="checked"</c:if> >牵扯样痛
							<input class="ml-30" type="radio" name="answer.q56_7" value="1" <c:if test="${answer.q56_7 == 1 }"> checked="checked"</c:if> >绞痛
							<input class="ml-30" type="radio" name="answer.q56_8" value="1" <c:if test="${answer.q56_8 == 1 }"> checked="checked"</c:if> >难以描述
						</p>
					</div>
					<div class="ml-10 mt-6">
						45.您感觉疼痛部位固定吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q58" value="1" <c:if test="${answer.q58 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q58" value="2" <c:if test="${answer.q58 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						46.您有腹胀吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q59" value="1" <c:if test="${answer.q59 == 1 }"> checked="checked"</c:if> >没有腹胀（转题50）<br>
							<input class="ml-30" type="radio" name="answer.q59" value="2" <c:if test="${answer.q59 == 2 }"> checked="checked"</c:if> >偶有腹胀，每次持续小于1小时<br>
							<input class="ml-30" type="radio" name="answer.q59" value="3" <c:if test="${answer.q59 == 3 }"> checked="checked"</c:if> >经常腹胀，程度可忍受，持续1-3小时才能缓解	<br>
							<input class="ml-30" type="radio" name="answer.q59" value="4" <c:if test="${answer.q59 == 4 }"> checked="checked"</c:if> >明显感到腹胀，每次持续大于3小时，程度多不能忍受，服药后才能缓解<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						47.您觉得按压会使腹痛或腹胀减轻还是加重吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q60" value="1" <c:if test="${answer.q60 == 1 }"> checked="checked"</c:if> >加重
							<input class="ml-30" type="radio" name="answer.q60" value="2" <c:if test="${answer.q60 == 2 }"> checked="checked"</c:if> >减轻
							<input class="ml-30" type="radio" name="answer.q60" value="3" <c:if test="${answer.q60 == 3 }"> checked="checked"</c:if> >均不是
						</p>
					</div>
					<div class="ml-10 mt-6">
						48.您觉得餐后腹胀或腹痛会加重吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q61" value="1" <c:if test="${answer.q61 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q61" value="2" <c:if test="${answer.q61 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						49.您进热食或热敷后腹痛或腹胀会减轻吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q62" value="1" <c:if test="${answer.q62 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q62" value="2" <c:if test="${answer.q62 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						50.您有自觉肚子咕咕响/肠鸣吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q63" value="1" <c:if test="${answer.q63 == 1 }"> checked="checked"</c:if> >没有肠鸣<br>
							<input class="ml-30" type="radio" name="answer.q63" value="2" <c:if test="${answer.q63 == 2 }"> checked="checked"</c:if> >自觉肠鸣，每天发作不超过3次，每次声响不大<br>
							<input class="ml-30" type="radio" name="answer.q63" value="3" <c:if test="${answer.q63 == 3 }"> checked="checked"</c:if> >自觉肠鸣，每天发作4-9次，每次声响连连，声响较大	<br>
							<input class="ml-30" type="radio" name="answer.q63" value="4" <c:if test="${answer.q63 == 4 }"> checked="checked"</c:if> >自觉肠鸣，每天发作10次以上，每次发作声响不断，声响如雷鸣<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						51.您每天大便多少次？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q64" value="1" <c:if test="${answer.q64 == 1 }"> checked="checked"</c:if> >每日1-2次
							<input class="ml-30" type="radio" name="answer.q64" value="2" <c:if test="${answer.q64 == 2 }"> checked="checked"</c:if> >1-2日一次
							<input class="ml-30" type="radio" name="answer.q64" value="3" <c:if test="${answer.q64 == 3 }"> checked="checked"</c:if> >每日大于2次
							<input class="ml-30" type="radio" name="answer.q64" value="4" <c:if test="${answer.q64 == 4 }"> checked="checked"</c:if> >大于2日一次
						</p>
					</div>
					<div class="ml-10 mt-6">
						52.您有大便干结吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q65" value="1" <c:if test="${answer.q65 == 1 }"> checked="checked"</c:if> >没有大便干结<br>
							<input class="ml-30" type="radio" name="answer.q65" value="2" <c:if test="${answer.q65 == 2 }"> checked="checked"</c:if> >偶尔大便偏干，不容易解出<br>
							<input class="ml-30" type="radio" name="answer.q65" value="3" <c:if test="${answer.q65 == 3 }"> checked="checked"</c:if> >经常大便坚硬，排便较困难，可见粒状便<br>
							<input class="ml-30" type="radio" name="answer.q65" value="4" <c:if test="${answer.q65 == 4 }"> checked="checked"</c:if> >大便总是干燥呈粒状，解出极难，常需药物 <br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						53.您有大便稀软不成形吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q66" value="1" <c:if test="${answer.q66 == 1 }"> checked="checked"</c:if> >没有大便稀软不成形<br>
							<input class="ml-30" type="radio" name="answer.q66" value="2" <c:if test="${answer.q66 == 2 }"> checked="checked"</c:if> >偶尔大便稀软或稍溏<br>
							<input class="ml-30" type="radio" name="answer.q66" value="3" <c:if test="${answer.q66 == 3 }"> checked="checked"</c:if> >经常大便稀软或稍溏 <br>
							<input class="ml-30" type="radio" name="answer.q66" value="4" <c:if test="${answer.q66 == 4 }"> checked="checked"</c:if> >总是大便稀软或稍溏<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						54.您有大便溏结不调吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q67" value="1" <c:if test="${answer.q67 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q67" value="2" <c:if test="${answer.q67 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						55.您有大便黏滞吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q68" value="1" <c:if test="${answer.q68 == 1 }"> checked="checked"</c:if> >没有大便黏滞 <br>
							<input class="ml-30" type="radio" name="answer.q68" value="2" <c:if test="${answer.q68 == 2 }"> checked="checked"</c:if> >大便有时稍有黏滞，排出欠爽<br>
							<input class="ml-30" type="radio" name="answer.q68" value="3" <c:if test="${answer.q68 == 3 }"> checked="checked"</c:if> >大便黏滞，经常可见黏滞于便厕内，难以冲下<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						56.您的大便肉眼可见红色血液或者黑便吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q69" value="1" <c:if test="${answer.q69 == 1 }"> checked="checked"</c:if> >未便血或者黑便<br>
							<input class="ml-30" type="radio" name="answer.q69" value="2" <c:if test="${answer.q69 == 2 }"> checked="checked"</c:if> >偶尔可见少量血液覆盖粪便表面或者大便色黑<br>
							<input class="ml-30" type="radio" name="answer.q69" value="3" <c:if test="${answer.q69 == 3 }"> checked="checked"</c:if> >有时可见血液混在粪便中或者大便色黑<br>
							<input class="ml-30" type="radio" name="answer.q69" value="4" <c:if test="${answer.q69 == 4 }"> checked="checked"</c:if> >经常便后出血或者黑便<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						57.您大便中夹有黏液吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q70" value="1" <c:if test="${answer.q70 == 1 }"> checked="checked"</c:if> >无<br>
							<input class="ml-30" type="radio" name="answer.q70" value="2" <c:if test="${answer.q70 == 2 }"> checked="checked"</c:if> >少量黏液覆盖粪便表面<br>
							<input class="ml-30" type="radio" name="answer.q70" value="3" <c:if test="${answer.q70 == 3 }"> checked="checked"</c:if> >中等量黏液混在粪便中<br>
							<input class="ml-30" type="radio" name="answer.q70" value="4" <c:if test="${answer.q70 == 4 }"> checked="checked"</c:if> >明显可见大量鼻涕样黏液<br>
						</p>
					</div>
					<div class="ml-10 mt-6">
						58.您大便中夹有不消化食物吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q71" value="1" <c:if test="${answer.q71 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="radio" name="answer.q71" value="2" <c:if test="${answer.q71 == 2 }"> checked="checked"</c:if> >少量不消化食物
							<input class="ml-30" type="radio" name="answer.q71" value="3" <c:if test="${answer.q71 == 3 }"> checked="checked"</c:if> >中等量不消化食物
							<input class="ml-30" type="radio" name="answer.q71" value="4" <c:if test="${answer.q71 == 4 }"> checked="checked"</c:if> >大部分不消化食物
						</p>
					</div>
					<div class="ml-10 mt-6">
						59.您有排便费力吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q72" value="1" <c:if test="${answer.q72 == 1 }"> checked="checked"</c:if> >无
							<input class="ml-30" type="radio" name="answer.q72" value="2" <c:if test="${answer.q72 == 2 }"> checked="checked"</c:if> >大便时间15-20分钟
							<input class="ml-30" type="radio" name="answer.q72" value="3" <c:if test="${answer.q72 == 3 }"> checked="checked"</c:if> >大便时间20-30分钟
							<input class="ml-30" type="radio" name="answer.q72" value="4" <c:if test="${answer.q72 == 4 }"> checked="checked"</c:if> >大便时间30分钟以上
						</p>
					</div>
					<div class="ml-10 mt-6">
						60.您有便意时必须立刻上厕所吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q73" value="1" <c:if test="${answer.q73 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q73" value="2" <c:if test="${answer.q73 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						61.您有排便时间不规律吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q74" value="1" <c:if test="${answer.q74 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q74" value="2" <c:if test="${answer.q74 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						62.您有便后不尽感（仍想上厕所）吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q75" value="1" <c:if test="${answer.q75 == 1 }"> checked="checked"</c:if> >没有便后不尽感	
							<input class="ml-30" type="radio" name="answer.q75" value="2" <c:if test="${answer.q75 == 2 }"> checked="checked"</c:if> >便后不尽感，总想去厕所，每天少于3次，每次大便量少，或未解
							<input class="ml-30" type="radio" name="answer.q75" value="3" <c:if test="${answer.q75 == 3 }"> checked="checked"</c:if> >便后不尽感，时时欲入厕，每天3-4次，每次大便量少，或未解
							<input class="ml-30" type="radio" name="answer.q75" value="4" <c:if test="${answer.q75 == 4 }"> checked="checked"</c:if> >便后不尽感，时时欲入厕，每天大于4次，每次大便量少，或未解
						</p>
					</div>
					<div class="ml-10 mt-6">
						63.您放屁多吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q76" value="1" <c:if test="${answer.q76 == 1 }"> checked="checked"</c:if> >放屁很少
							<input class="ml-30" type="radio" name="answer.q76" value="2" <c:if test="${answer.q76 == 2 }"> checked="checked"</c:if> >放屁较少，每天不超过5次，单个为主
							<input class="ml-30" type="radio" name="answer.q76" value="3" <c:if test="${answer.q76 == 3 }"> checked="checked"</c:if> >放屁较多，每天6-10次，连发数个
							<input class="ml-30" type="radio" name="answer.q76" value="4" <c:if test="${answer.q76 == 4 }"> checked="checked"</c:if> >放屁较多，每天大于10次，连续不断
						</p>
					</div>
					<div class="ml-10 mt-6">
						64.您大便后经常有肛门灼热感吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q77" value="1" <c:if test="${answer.q77 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q77" value="2" <c:if test="${answer.q77 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						65.您经常有肛门下坠感吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q78" value="1" <c:if test="${answer.q78 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q78" value="2" <c:if test="${answer.q78 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						66.您有食欲差吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q79" value="1" <c:if test="${answer.q79 == 1 }"> checked="checked"</c:if> >饮食正常
							<input class="ml-30" type="radio" name="answer.q79" value="2" <c:if test="${answer.q79 == 2 }"> checked="checked"</c:if> >食欲减退
							<input class="ml-30" type="radio" name="answer.q79" value="3" <c:if test="${answer.q79 == 3 }"> checked="checked"</c:if> >没有饥饿感，不欲饮食
							<input class="ml-30" type="radio" name="answer.q79" value="4" <c:if test="${answer.q79 == 4 }"> checked="checked"</c:if> >对食物完全不感兴趣
						</p>
					</div>
					<div class="ml-10 mt-6">
						67.您情绪差/精神压力大时上述症状会加重吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q80" value="1" <c:if test="${answer.q80 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q80" value="2" <c:if test="${answer.q80 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						68.您劳累后上述症状会加重吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q81" value="1" <c:if test="${answer.q81 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q81" value="2" <c:if test="${answer.q81 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						69.您有口干吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q82" value="1" <c:if test="${answer.q82 == 1 }"> checked="checked"</c:if> >没有口干
							<input class="ml-30" type="radio" name="answer.q82" value="2" <c:if test="${answer.q82 == 2 }"> checked="checked"</c:if> >唾液减少，口腔偏干，可不饮水
							<input class="ml-30" type="radio" name="answer.q82" value="3" <c:if test="${answer.q82 == 3 }"> checked="checked"</c:if> >唾液明显减少，口腔发干，稍欲饮水
							<input class="ml-30" type="radio" name="answer.q82" value="4" <c:if test="${answer.q82 == 4 }"> checked="checked"</c:if> >唾液甚少，口腔黏膜甚为干燥，需要大量饮水
						</p>
					</div>
					<div class="ml-10 mt-6">
						70.您有口苦吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q83" value="1" <c:if test="${answer.q83 == 1 }"> checked="checked"</c:if> >没有口苦
							<input class="ml-30" type="radio" name="answer.q83" value="2" <c:if test="${answer.q83 == 2 }"> checked="checked"</c:if> >口中似有苦味，偶尔发作
							<input class="ml-30" type="radio" name="answer.q83" value="3" <c:if test="${answer.q83 == 3 }"> checked="checked"</c:if> >口中发苦，历史较久，可有食欲减退，经常发作
							<input class="ml-30" type="radio" name="answer.q83" value="4" <c:if test="${answer.q83 == 4 }"> checked="checked"</c:if> >口味甚苦，常伴食欲减退，或伴恶心呕吐，需要漱口或进甜食才能缓解，症状持续
						</p>
					</div>
					<div class="ml-10 mt-6">
						71.您有口淡无味的感觉吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q85" value="1" <c:if test="${answer.q85 == 1 }"> checked="checked"</c:if> >没有口淡
							<input class="ml-30" type="radio" name="answer.q85" value="2" <c:if test="${answer.q85 == 2 }"> checked="checked"</c:if> >口味略淡，吃东西没有胃口，偶尔发作
							<input class="ml-30" type="radio" name="answer.q85" value="3" <c:if test="${answer.q85 == 3 }"> checked="checked"</c:if> >口味淡，进食乏味，经常发作
							<input class="ml-30" type="radio" name="answer.q85" value="4" <c:if test="${answer.q85 == 4 }"> checked="checked"</c:if> >口味极淡，不想进食，症状持续
						</p>
					</div>
					<div class="ml-10 mt-6">
						72.您口臭/口气重吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q86" value="1" <c:if test="${answer.q86 == 1 }"> checked="checked"</c:if> >没有口臭
							<input class="ml-30" type="radio" name="answer.q86" value="2" <c:if test="${answer.q86 == 2 }"> checked="checked"</c:if> >出气稍有臭秽，他人靠近可闻觉，自己未觉
							<input class="ml-30" type="radio" name="answer.q86" value="3" <c:if test="${answer.q86 == 3 }"> checked="checked"</c:if> >出气臭秽，他人稍靠近便可闻觉	
							<input class="ml-30" type="radio" name="answer.q86" value="4" <c:if test="${answer.q86 == 4 }"> checked="checked"</c:if> >出气臭秽，他人在较远距离及自我可闻觉
						</p>
					</div>
					<div class="ml-10 mt-6">
						73.您有口疮吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q87" value="1" <c:if test="${answer.q87 == 1 }"> checked="checked"</c:if> >没有口疮
							<input class="ml-30" type="radio" name="answer.q87" value="2" <c:if test="${answer.q87 == 2 }"> checked="checked"</c:if> >偶尔会长口疮
							<input class="ml-30" type="radio" name="answer.q87" value="3" <c:if test="${answer.q87 == 3 }"> checked="checked"</c:if> >经常长口疮
							<input class="ml-30" type="radio" name="answer.q87" value="4" <c:if test="${answer.q87 == 4 }"> checked="checked"</c:if> >总是长口疮，且多个
						</p>
					</div>
					<div class="ml-10 mt-6">
						74.您有体重下降吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q88" value="1" <c:if test="${answer.q88 == 1 }"> checked="checked"</c:if> >没有明显体重下降	
							<input class="ml-30" type="radio" name="answer.q88" value="2" <c:if test="${answer.q88 == 2 }"> checked="checked"</c:if> >体重缓慢下降，近年体重下降5-10斤
							<input class="ml-30" type="radio" name="answer.q88" value="3" <c:if test="${answer.q88 == 3 }"> checked="checked"</c:if> >体重突然下降，近月内体重下降5-10斤
							<input class="ml-30" type="radio" name="answer.q88" value="4" <c:if test="${answer.q88 == 4 }"> checked="checked"</c:if> >体重突然下降，近月内体重下降超过10斤
						</p>
					</div>
					<div class="ml-10 mt-6">
						75.您失眠吗（指不易入睡、睡后易醒、彻夜难眠）？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q89" value="1" <c:if test="${answer.q89 == 1 }"> checked="checked"</c:if> >没有失眠
							<input class="ml-30" type="radio" name="answer.q89" value="2" <c:if test="${answer.q89 == 2 }"> checked="checked"</c:if> >入睡困难，或睡后易醒，可基本保障每夜睡眠7-8小时
							<input class="ml-30" type="radio" name="answer.q89" value="3" <c:if test="${answer.q89 == 3 }"> checked="checked"</c:if> >入睡困难，或睡后易醒，每夜睡眠4-6小时
							<input class="ml-30" type="radio" name="answer.q89" value="4" <c:if test="${answer.q89 == 4 }"> checked="checked"</c:if> >入睡困难，或睡后易醒，每夜睡眠小于4小时
						</p>
					</div>
					<div class="ml-10 mt-6">
						76.您多梦吗？    
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q90" value="1" <c:if test="${answer.q90 == 1 }"> checked="checked"</c:if> >没有多梦
							<input class="ml-30" type="radio" name="answer.q90" value="2" <c:if test="${answer.q90 == 2 }"> checked="checked"</c:if> >3夜以上做梦1次 
							<input class="ml-30" type="radio" name="answer.q90" value="3" <c:if test="${answer.q90 == 3 }"> checked="checked"</c:if> >2-3夜做梦1次
							<input class="ml-30" type="radio" name="answer.q90" value="4" <c:if test="${answer.q90 == 4 }"> checked="checked"</c:if> >每夜均做梦
						</p>
					</div>
					<div class="ml-10 mt-6">
						77.您是否有胸闷心悸？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q91" value="1" <c:if test="${answer.q91 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q91" value="2" <c:if test="${answer.q91 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						78.您是否有咽部不适，如有痰阻？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q92" value="1" <c:if test="${answer.q92 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q92" value="2" <c:if test="${answer.q92 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						79.您容易觉得身体困重、疲倦乏力吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q93" value="1" <c:if test="${answer.q93 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q93" value="2" <c:if test="${answer.q93 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						80.您会比正常人更怕冷、怕风吗？
						<p class="ml-30">
							<input class="ml-30" type="radio" name="answer.q94" value="1" <c:if test="${answer.q94 == 1 }"> checked="checked"</c:if> >是
							<input class="ml-30" type="radio" name="answer.q94" value="2" <c:if test="${answer.q94 == 2 }"> checked="checked"</c:if> >否
						</p>
					</div>
					<div class="ml-10 mt-6">
						81.您近年来有没有刻意调整自己的生活习惯？具体表现在哪些方面？
						<p class="ml-30">
							<textarea rows="5" cols="100" name="answer.q95">${answer.q95 }</textarea>
						</p>
					</div>
				</div>
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					var json = jQuery.parseJSON(data);
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